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An efficient and accurate new method for locating the F3 position for prefrontal TMS applications

机译:为前额叶TMS应用定位F3位置的高效准确的新方法

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摘要

The International 10–20 system is a method for standardized placement of electroencephalogram (EEG) electrodes. The 10–20 system correlates external skull locations with the underlying cortical areas. This system accounts for variability in patient skull size by using certain percentages of the circumference and distances between four basic anatomical landmarks. This 10–20 system has recently been used in transcranial magnetic stimulation (TMS) research for locating specific cortical areas. In the treatment of depression (and some types of pain), the desired placement of the TMS coil is often above the left dorsalateral prefrontal cortex (DLPFC) which corresponds to the F3 location given by the 10–20 system. However, for an administrator with little experience with the 10–20 system, the numerous measurements and calculations can be excessively time-consuming. Additionally, with more measurements comes more opportunity for human error. For this reason we have developed a new, simpler and faster way to find the F3 position using only three skull measurements. In this paper, we describe and illustrate the application of the new F3 location system, provide the formulas used in the calculation of the F3 position, and summarize data from 10 healthy adults. After using both the International 10–20 system and this new method, it appears that the new method is sufficiently accurate; however, future investigations may be warranted to conduct more in dept analyses of the method's utility and potential limitations. This system requires less time and training to find the optimal position for prefrontal coil placement and it saves considerable time compared to the 10–20 EEG system.
机译:国际10-20系统是一种用于脑电图(EEG)电极标准化放置的方法。 10–20系统将外部头骨位置与下面的皮质区域相关联。该系统通过使用一定百分比的周长和四个基本解剖界标之间的距离来说明患者颅骨大小的可变性。这种10–20系统最近已用于经颅磁刺激(TMS)研究中,以定位特定的皮质区域。在治疗抑郁症(和某些类型的疼痛)时,TMS线圈的理想位置通常位于左后外侧前额叶皮层(DLPFC)上方,该位置对应于10-20系统给出的F3位置。但是,对于缺乏10-20系统经验的管理员而言,大量的测量和计算可能会非常耗时。此外,进行更多的测量会带来更多的人为错误机会。因此,我们开发了一种新的,更简单,更快速的方法,仅使用三个颅骨测量值即可找到F3位置。在本文中,我们描述并说明了新的F3定位系统的应用,提供了用于计算F3位置的公式,并汇总了10位健康成年人的数据。在使用国际10-20系统和此新方法之后,新方法似乎足够准确。但是,将来可能需要进行更多调查,以便对该方法的用途和潜在限制进行深入的分析。与10–20 EEG系统相比,该系统需要较少的时间和培训来找到前额线圈放置的最佳位置,并且节省了大量时间。

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